List of Lumps and Swellings in the Oro-Facial Region



Lumps in the mouth by main location

Gingiva
• Abscesses
• Amyloidosis
• Chronic gingivitis
• Chronic granuloma (Crohn’s disease, orofacial granulomatosis, sarcoidosis)
• Cysts
• Drugs:
       Phenytoin
       Cyclosporine
       Calcium channel blockers
• Exostoses
• Fibrous epulis
• Giant cell tumour
• Hereditary gingival fibromatosis
• Hyperplastic gingivitis
• Hypoplasminogenaemia
• Neoplasm (carcinoma, leukaemia, lymphoma, Kaposi’s sarcoma, midline lethal granuloma, Wegener’s
granulomatosis)
• Pregnancy
• Pyogenic granuloma
• Scurvy

Buccal
• Angioma
• Chronic granuloma (Crohn’s disease, orofacial granulomatosis, sarcoidosis)
• Fibrous lump
• Mucocele
• Neoplasm (carcinoma, lymphoma, salivary gland neoplasm, Kaposi’s sarcoma)

Palate
• Dental abscess
• Neoplasm (carcinoma, lymphoma, salivary gland neoplasm, Kaposi’s sarcoma)
• Papilloma
• Torus palatinus
• Unerupted teeth
• Others

Tongue
• Amyloidosis
• Angioma or lymphangioma
• Fibrous lump
• Granular cell tumour
• Haematoma
• Neoplasm (carcinoma, lymphoma, Kaposi’s sarcoma, salivary tumour)
• Papillitis
• Others
 
Carcinoma causing gingival swelling

Haemangioma

Papilloma causing palatal swelling

Salivary Gland tumour causing palatal swelling

More comprehensive table of conditions that may present as oral lumps or swellings

Normal
• Pterygoid hamulus
• Parotid papillae
• Foliate papillae
• Unerupted teeth

Developmental
• Haemangioma
• Lymphangioma
• Maxillary and mandibular tori
• Hereditary gingival fibromatosis
• von Recklinghausen’s neurofibromatosis

Cystic
• Eruption cysts
• Developmental cysts
• Cysts of infective origin

Inflammatory
• Abscess
• Pyogenic granuloma
• Crohn’s disease
• Orofacial granulomatosis
• Sarcoidosis
• Wegener’s granulomatosis
• Infections
• Insect bites
• Others

Traumatic
• Haematoma
• Epulis
• Epithelial polyp
• Denture granulomas

Hormonal
• Pregnancy epulis/gingivitis
• Oral contraceptive (pill gingivitis)
• Brown tumour of hyperparathyroidism

Drugs
• Phenytoin
• Ciclosporin
• Calcium channel blockers

Neoplasms
• Benign (and warts)
• Malignant

Fibro-osseous lesions
• Fibrous dysplasia
• Paget’s disease

Deposits
• Amyloidosis
• Hypoplasminogenaemia (fibrin deposits)
• Other deposits
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